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General NPI Number Information
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NPI Number | 1881044782
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Entity Type | Organization
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Legal Business Name | MEDICINE VOICE HEALING CENTER
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 1738 ALBANY AVE STE 2
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City | HOT SPRINGS
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State | SD
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Zip | 57747-2100
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Country | US
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Telephone | 605-745-5251
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Fax | 605-745-6813
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Provider Business Mailing Address
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Address Line | 1738 ALBANY AVE STE 2
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City | HOT SPRINGS
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State | SD
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Zip | 57747-2100
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Country | US
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Telephone | 605-745-5251
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Fax | 605-745-6813
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Authorized Official
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Title or Position | OWNER
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Name | DANIALLE DIANE ROSE
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Credential | LCSW
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Telephone | 605-745-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1683
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License Number State | SD
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